Organization Active NPI

Mending Hands Surgical Assisting, LLC

  • Registered Nurse First Assistant
  • Mount Holly, NJ
National Provider Identifier
1154826634
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
26NO09327300 Issued in NJ
Legal business name
MENDING HANDS SURGICAL ASSISTING, LLC
Practice address
175 Madison Ave
Mount Holly, NJ 08060-2038
Phone
(609) 351-4647
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cheryl Tilton, RNFANPI 1578097879
Title
President
Phone
(609) 351-4647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WR0006X 26NO09327300 NJ Primary

Addresses

Primary practice location

175 Madison Ave
Mount Holly, NJ 08060-2038

Mailing address

55 Evergreen LN
Burlington, NJ 08016-3130
Phone (609) 351-4647

Other identifiers 1

IdentifierTypeStateIssuer
1578097879OtherNJRNFA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1154826634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 EVERGREEN LN",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080163130",
            "telephone_number": "609-351-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602038",
            "telephone_number": "609-351-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING HANDS SURGICAL ASSISTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "TILTON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-351-4647",
        "authorized_official_credential": "RNFA"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NO09327300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RNFA",
            "identifier": "1578097879",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.